Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

DAVID VINCENT SPENCER

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1154820157
CMS profile
5258751
Location
KIRKSVILLE, MO

General Payments · PY2018–2024

$8,587.67

  • Reported across 547 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$759.59

55 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $759.59 55

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $464.43 24
PY2019 $1,625.82 116
PY2020 $1,640.43 109
PY2021 $1,851.00 111
PY2022 $1,002.41 55
PY2023 $1,243.99 77
PY2024 $759.59 55

Payment records · PY2024 (55)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Abbott Laboratories $15.29 04/15/2024 Food and Beverage Undisputed 01/23/2026 1124874685 CMS
Alkermes, Inc. $15.40 04/05/2024 Food and Beverage Undisputed 01/23/2026 1120601718 CMS
Amgen Inc. $15.79 01/23/2024 Food and Beverage Undisputed 01/23/2026 1117389298 CMS
Amgen Inc. $12.65 01/30/2024 Food and Beverage Undisputed 01/23/2026 1111714416 CMS
Amgen Inc. $15.84 02/23/2024 Food and Beverage Undisputed 01/23/2026 1117389300 CMS
Amgen Inc. $9.04 02/29/2024 Food and Beverage Undisputed 01/23/2026 1111714418 CMS
Amgen Inc. $16.27 03/13/2024 Food and Beverage Undisputed 01/23/2026 1111714432 CMS
Amgen Inc. $15.27 03/22/2024 Food and Beverage Undisputed 01/23/2026 1117389302 CMS
Amgen Inc. $12.44 03/25/2024 Food and Beverage Undisputed 01/23/2026 1111714420 CMS
Amgen Inc. $15.46 06/27/2024 Food and Beverage Undisputed 01/23/2026 1111714422 CMS
Amgen Inc. $19.73 07/26/2024 Food and Beverage Undisputed 01/23/2026 1111714424 CMS
Amgen Inc. $20.76 08/23/2024 Food and Beverage Undisputed 01/23/2026 1117389304 CMS
Amgen Inc. $12.90 08/29/2024 Food and Beverage Undisputed 01/23/2026 1111714426 CMS
Amgen Inc. $4.97 09/13/2024 Food and Beverage Undisputed 01/23/2026 1117389306 CMS
Amgen Inc. $13.66 09/27/2024 Food and Beverage Undisputed 01/23/2026 1111714428 CMS
Amgen Inc. $13.73 11/25/2024 Food and Beverage Undisputed 01/23/2026 1111714430 CMS
AstraZeneca Pharmaceuticals LP $47.38 01/17/2024 Food and Beverage Undisputed 01/23/2026 1105449260 CMS
AstraZeneca Pharmaceuticals LP $16.07 03/18/2024 Food and Beverage Undisputed 01/23/2026 1105715820 CMS
AstraZeneca Pharmaceuticals LP $14.58 06/04/2024 Food and Beverage Undisputed 01/23/2026 1104382075 CMS
AstraZeneca Pharmaceuticals LP $15.47 06/26/2024 Food and Beverage Undisputed 01/23/2026 1105443007 CMS
AstraZeneca Pharmaceuticals LP $14.60 09/11/2024 Food and Beverage Undisputed 01/23/2026 1105355181 CMS
AstraZeneca Pharmaceuticals LP $23.53 09/12/2024 Food and Beverage Undisputed 01/23/2026 1105874017 CMS
AstraZeneca Pharmaceuticals LP $13.14 10/25/2024 Food and Beverage Undisputed 01/23/2026 1105854436 CMS
AstraZeneca Pharmaceuticals LP $17.54 11/25/2024 Food and Beverage Undisputed 01/23/2026 1104669755 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.27 09/23/2024 Food and Beverage Undisputed 01/23/2026 1086211615 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.97 11/27/2024 Food and Beverage Undisputed 01/23/2026 1086207557 CMS
Exact Sciences Corporation $13.29 06/12/2024 Food and Beverage Undisputed 01/23/2026 1114563996 CMS
iRhythm Technologies, Inc. $17.06 02/28/2024 Food and Beverage Undisputed 01/23/2026 1154051215 CMS
Lilly USA, LLC $14.92 08/09/2024 Food and Beverage Undisputed 01/23/2026 1136129552 CMS
Mylan Specialty L.P. $16.36 10/28/2024 Food and Beverage Undisputed 01/23/2026 1147355174 CMS
Neurocrine Biosciences, Inc. $15.75 10/08/2024 Food and Beverage Undisputed 01/23/2026 1150872970 CMS
Novartis Pharmaceuticals Corporation $14.47 06/11/2024 Food and Beverage Undisputed 01/23/2026 1087308257 CMS
Novartis Pharmaceuticals Corporation $15.45 12/12/2024 Food and Beverage Undisputed 01/23/2026 1087308267 CMS
Novo Nordisk Inc $8.48 01/18/2024 Food and Beverage Undisputed 01/23/2026 1096587889 CMS
Novo Nordisk Inc $0.43 01/18/2024 Food and Beverage Undisputed 01/23/2026 1096904805 CMS
Novo Nordisk Inc $9.14 01/29/2024 Food and Beverage Undisputed 01/23/2026 1097835873 CMS
Novo Nordisk Inc $6.27 02/02/2024 Food and Beverage Undisputed 01/23/2026 1096615476 CMS
Novo Nordisk Inc $10.58 02/20/2024 Food and Beverage Undisputed 01/23/2026 1097817844 CMS
Novo Nordisk Inc $12.44 03/20/2024 Food and Beverage Undisputed 01/23/2026 1097511330 CMS
Novo Nordisk Inc $2.46 04/25/2024 Food and Beverage Undisputed 01/23/2026 1096809494 CMS
Novo Nordisk Inc $11.42 05/13/2024 Food and Beverage Undisputed 01/23/2026 1096638912 CMS
Novo Nordisk Inc $6.27 05/22/2024 Food and Beverage Undisputed 01/23/2026 1097083518 CMS
Novo Nordisk Inc $8.95 07/09/2024 Food and Beverage Undisputed 01/23/2026 1096879949 CMS
Novo Nordisk Inc $8.60 07/09/2024 Food and Beverage Undisputed 01/23/2026 1097575831 CMS
Novo Nordisk Inc $6.11 08/09/2024 Food and Beverage Undisputed 01/23/2026 1096935233 CMS
Novo Nordisk Inc $10.91 08/19/2024 Food and Beverage Undisputed 01/23/2026 1097630716 CMS
Novo Nordisk Inc $15.65 10/12/2024 Food and Beverage Undisputed 01/23/2026 1096941513 CMS
Novo Nordisk Inc $15.93 10/28/2024 Food and Beverage Undisputed 01/23/2026 1097585557 CMS
Novo Nordisk Inc $12.82 11/19/2024 Food and Beverage Undisputed 01/23/2026 1097326748 CMS
Novo Nordisk Inc $7.25 12/02/2024 Food and Beverage Undisputed 01/23/2026 1097785287 CMS
Novo Nordisk Inc $5.39 12/13/2024 Food and Beverage Undisputed 01/23/2026 1096846437 CMS
Otsuka America Pharmaceutical, Inc. $16.91 06/13/2024 Food and Beverage Undisputed 01/23/2026 1118987030 CMS
Otsuka America Pharmaceutical, Inc. $14.07 08/26/2024 Food and Beverage Undisputed 01/23/2026 1118987032 CMS
Sumitomo Pharma America, Inc. $14.24 08/16/2024 Food and Beverage Undisputed 01/23/2026 1148922733 CMS
Teva Pharmaceuticals USA, Inc. $28.22 12/16/2024 Food and Beverage Undisputed 01/23/2026 1151711919 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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